This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Point of Service |
305S00000X | |||
Exclusive Provider Organization |
302F00000X | |||
Health Maintenance Organization |
302R00000X | |||
Preferred Provider Organization |
305R00000X |
| NPI Number | 1689186124 |
||||
| Entity | Organization | ||||
| Organization subpart 1 | Not specified | ||||
| Enumeration date | 10/24/2017 | ||||
| Last updated | 10/24/2017 - About 9 years ago | ||||
| Identifiers |
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JEANETTE E POWERS
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